Provider First Line Business Practice Location Address:
336 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-4326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-222-4227
Provider Business Practice Location Address Fax Number:
724-222-7946
Provider Enumeration Date:
07/15/2008